facebook tracking Wound debridement and skin graft except hand for musculoskeletal and connective tissue d cost in Oregon: 1 hospitals compared (DRG 464)

Wound debridement and skin graft except hand for musculoskeletal and connective tissue d in Oregon

What 1 hospital in Oregon charged and were paid for a Medicare hospital stay for wound debridement and skin graft except hand for musculoskeletal and connective tissue d (DRG 464), from 2024 Medicare claims.

DRG 464 Inpatient 2024 Medicare data
Average charge $167,875 Hospital list price billed
Average payment $39,287 Medicare + patient + other payers
Medicare paid $32,786 Average per stay
Volume 12 Medicare hospital stays

Hospitals in Oregon billed an average of $167,875 for wound debridement and skin graft except hand for musculoskeletal and connective tissue d, about 4.3 times the average total payment of $39,287. That payment is 15% above the U.S. average of $34,026.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $39,287Billed $167,875

About 23¢ was paid for every $1 hospitals in Oregon billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Oregon:

Oregon hospitals: wound debridement and skin graft except hand for musculoskeletal and connective tissue d

Every Oregon hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
OHSU Hospital and ClinicsPortland 12 $167,875 $39,287 $32,786
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Wound debridement and skin graft except hand for musculoskeletal and connective tissue d in other states

Questions

How much does wound debridement and skin graft except hand for musculoskeletal and connective tissue d cost in Oregon?

In 2024 Medicare data, a hospital stay for wound debridement and skin graft except hand for musculoskeletal and connective tissue d (DRG 464) at 1 hospital in Oregon was billed at $167,875 on average, while the average total payment was $39,287, of which Medicare paid $32,786. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Oregon, average charges were 4.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.